Individual
MS. BETH GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN, PHN
Contact information
Practice address
3240 KERNER BLVD, SAN RAFAEL, CA 94901-4840
(415) 473-6007
Mailing address
3240 KERNER BLVD, SAN RAFAEL, CA 94901-4840
(415) 473-6007
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
840514
CA
Other
Enumeration date
04/13/2016
Last updated
04/13/2016
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